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METHOD FOR PREVENTION OF DIFFUSE INTRA- AND POSTOPERATIVE BLOOD LOSS IN SURGERY OF ABDOMINAL AORTA

机译:腹主动脉手术中弥漫性术中和术后出血的预防方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to cardiovascular surgery, and concerns preventing a diffuse intra- and postoperative blood loss in surgery of abdominal aorta. To this effect, performing the aortoiliac operations is combined with measuring preoperative antithrombin III; if the measured value is less than 87±3%, a thromboelastography is performed from the moment of an anaesthetic support started with determining a coagulation index. If the coagulation index is less than 2.89±0.25 as early as at the start of the stage of approaching the abdominal aorta, before any surgically significant blood loss, fresh-frozen plasma of the identical group in a min. amount of 600 ml is administered into the patient. If the following dynamic control shows a decrease of the coagulation index below 1.10±0.28, at least 600 ml of fresh-frozen plasma is additionally administered, providing thereby the coagulation index by the end of the operation not less than 0.52±0.27.;EFFECT: method provides effective prevention of intra- and postoperative blood loss by prevention of intraoperative homeostatic disorders.
机译:技术领域本发明涉及医学,即心血管外科,并且涉及在腹主动脉手术中防止弥散的术中和术后失血。为此,将主动脉手术与术前抗凝血酶III的测定相结合。如果测量值小于87±3%,则从开始确定麻醉指标开始使用麻醉药支持的那一刻起进行血栓弹力造影。如果在接近腹主动脉的阶段开始时,凝血指数小于2.89±0.25,则在手术失血量较大之前,应立即冷冻同一组的新鲜血浆。将600毫升的量施用于患者。如果以下动态控制显示凝结指数降低至1.10±0.28以下,则至少应补充600 ml新鲜冷冻血浆,从而在手术结束前使凝结指数不低于0.52±0.27。 :该方法可通过预防术中体内稳态障碍来有效预防术中和术后失血。

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